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76A638A CE#'8035 61 APPLICATION FOR BUILDING PER T
COUNTY OF LOS ANGELES BUILDING /o-�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY �?.
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT N GR TYPE R BY
FOR APPLICANT TO FILL IN CONST
BUILDING L_ / !, /tel/ STATISTICALCLP(ypI-FICATION WERMAP
ADDRESSCLASS NO DWELL UNITS BK^ (�
/ _3
LOT NO BLOCK WATER ,A NOT REQUIRED RECEIVED
CERTIFICATE
TRACT 9 MAP HIGHWAY
Q NFBLLDGS NO (CIRCLE) ST TE MAJOR SECON ,LOCAL
SIZE OF LOT Q x f,SI NOO W ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER &114egNO r BUILDING YARD HWY STREET NAME
SETBACK WIDTH
EXIST
ADDRESS ��� C GOG�EQ� �CJ�
FRONT 0 7"
ARCHITECT OR TEL P L T�
ENGINEER NO " SIDE 0
P L
ADDRESS TEL , INSPECTION RRC AG
CONTRACTOR NO I � y �A � n
ADDRESS
DESCRIPTION OF WORK y�► %'��' �� �11-14 h
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NEW ADE
AD "I ALTER REPAIR DEMOLISH ��
SQ ' NO OF NO OF
IZE STORIES FAMII,41ESUSE � `
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STRUCTURE
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STRUCTURE
SI NATURE OF
APPLICANT I
VALUATION$ fir_ t 0_0l �
APPROVALS ATE INSPECTOR,S�/SIGNATURE
FEE $ FEE $ M. 0-0 FORMS
LOCATION
FORMS MATERIALS
FRAME FIRE STOPS
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS `
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS �f p n eA2 J ..
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK 'LATH=INT -!'� �i'�ffe� 5 r
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA IIA
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S PMPENS ATION INSUR C; LATH EXT
SIGNATURE OF L HOUSE NUMBER COR- -
PERMITTEE RECT AND POSTED f
ADDRESS FINAL
CLYDE N DIRLAM PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M o CASH PERM VALIDATION c� M o CASH
7 2 8 2 JAN 19 1 $7 1 2.0 0 3
4 ��
DEPARTMENT OF BUILDING_AND S ��' ji f 119,1 & uiLDING
LICATION FOR PERMIT
} COUNTY OF LO5 JWGELESWM. d. FOX. CHIEF ENGINEER d
1 r
Y FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING P Q � �L y DI®TRIyCT�NO PLANCK NO PERMIT NO
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DDRKIS
LOCALITY/ iP� /— �� RECEIVED SY DATE OAFA/P{P,L�, �y DOATE IBBUED
NEAREST
ROBE ST t+ Sir-
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OWNER JC RS, U � ,eMAIL A •4/1 ADDREIBS �I �/�� ..p��� / /7-� �f
ADDRESS �7 �J Ni �V Plf / LOCALITY ��/I]��(�/� �� J
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,p �/ NEAREST
TELrQ CROSS ST
CITY �L.'-111 0 5 ('J 77 NO 2.1
FIRE NO OF TYPE GROUP,—
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ARCHITECT OR J ' P e ZONE PLANS �F
ENGINEERLOGNo
AlADDRESS ! ♦ / SETBACK LINE 2-D r?-A Al
i� APPROVED
J
DATECONTRACTOR NO USE
' E APPROVED
ADDRESS ZONE BY DATE
LEGAL �j �/� CORMCTIONS
DESCRIPTION LOT NO A BLOCK
I
TRACT /'3<l;,_,*
SIZE OF LOT R i 4O NOW ON LOT
USE OF NO OF -NO OF
EXISTI G B G tea. FAMILI[B ` ROOMS
DESCRIPTION OF WORK �D 2 S-� 60W! Jai r 6 0-r
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLBE) FTISH
i _T =
SIZE IJ
G ROOMS � STORIES��j Al, r MC ttr'N A A.
WALL ROOF
-5 /
COVERING u I�� 0 I COVERING
USE OF NEW /��/ , J
[iUtLDING �[ij�°/ fT
.7' = /3 fz 7 U a
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ' APPROVALS,
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEFORMS,MA
S FLOCATION
AND STATE LAWS REGULATING BUIL/DING CONST UCTION FORMS.MATERIALS
JJ
FRAME FIRESTOPS,SIGNATURE OF BRACING,BOLTSPERMITTE
LATH, INT.
v
AUTHORIZED AMT- LATH, EXT. /e
76A63BA-3 2-..z $ �1P'� P C ®f�/,��i PLASTER,INT. /
�h f VV�j FEE PLASTER.EXT
VALUATION jt / ® FEE �� FINAL ��/ -?j aAe
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0602210005
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
TR 13329 LT 47 SQ FT STORIES TYPE 5030 CLOVERLY AV
STRUCTURE 25 VN TEMP CA 917803812
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA
8590-019-005 THOMAS PAGE 596 GRID JS LOCALITY TEMPLE CITY C
TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 02/21/06 JK 02/16/07
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
TA14ANARA NORMAN E MICHIKO (626) 285-3454- 7,130
5030 CLOVERLY AV t"-(9`
TEMP 917803812 FEES PAID DESCRIPTION OF WORK
TEAR OFF AND REROOF W/30 YR COMPOSITION SHINGLES FRONT HOUSE
FEE DESCRIPTION QUANTITY UOM AMOUNT ONLY
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 7130 00 VAL 0 71 SPECIAL CONDITIONS
D2 PERMIT W/O EN-HC 7130 00 VAL 183 00
TOTAL FEES 211 46
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDhRFLOOR INSULATION
144H269 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS
NO 21 ROOF SHEATHING �J?1
�J1D
SCHOOL WITHIN HAZARDOUS SHEAR PANELS `
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS _
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM
RATBD WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1205100067
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 13329 LT 47 SQ FT STORIES TYPE 5030 CLOVERLY AV
I (STRUCTURE V-B TEMP CA 917803812
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LA ROSA
18590-019-005 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl
ITENANT JEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY
I 1EXIST OCC GRP 105/10/12 SR
OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FIVAL BY CODE
ITAIANAHA NORMAN E,MICHIKO - I 9,750 1
15030 CLOVERLY AV II
TEMP 917803812 1 FEES PAID I�R-P I F WORK 1
I I (BATHROOM REMODEL I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I 1
(APPLICANT TEL NO I 1 1
IHINOKI RON (562) 941-9713- SAA BLDG PERMIT ISSUANCE 27 80 1
115061 MIDCREST DR IAB STATE GREEN BLDG FEE 9750 00 VAL 1 00 ISPECIAL CONDITIONS
1WHITTIER, CA 90604 IAC STRONG MOTION RESID 9750 00 VAL 1 00
I 1B2 PERMIT W/ENERGY 9750 00 VAL 238 30
1 IFR INV WORK W/O PERMIT 342 20 DOL 342 20 1 1
(CONTRACTOR TEL NO I TOTAL FEES 610 30 1APPROVALS DATE INSPECTOR SIGNATURE 1
IR H CONSTRUCTION (310) 941-9713- 1 1 1
115061 E MIDCREST DR LIC NO 1 (LOCATION AND SETBACKS 1 1
IWHITTIER CA 90604 506872-B 1 I I
(SOILS ENGINEER APPROVAL 1
I I I I I I
1ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I I I
1 LIC NO 1 (SLAB/UNDER FLOOR I II
I I ( 1-1 I
I I IRAISED FLOOR FRAMING 1 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE Cr"P I 1UNDFRFLOOR INSULATION I I I
1144H269 3 001 1 I 1
I I IFLOOP SHEATHING 1 1 1
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I 1 1 1
I 0 NO 21 1 (ROOF SHEATHING I I I
I I I 1-1 I
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
1AIR QUALITY 1000 FEET MATERIALS I I I I
I NO NO NO IFRAME INSPECTION I I I
I I I I I I
I I (FIRE SPRINKLER HANGERS I I I
I I I 11 I
I I (INSULATION/WEATHER STRIPI I I
I I (INTERIOR LATH/DRYWALL
I �I
1 I 1EXTERIOR LATH 1 1
I I I I I I
1 1 (RATED FLOOR/CEIL ASSEM 1 1 1
I I I I I I
I I (RATED WALL ASSEMBLIES 1 1 1
I I I__ I I I
I I IRATED SHAFTS/OPENINGS 1 1 1
I I I I I I
I I IT-BAR CEILINGS 1 1 1
II* ADDITIONAL DATA ON FILE I I I I
1 1 ILOT DRAINAGE I I
I IREPORT ID DPR261 ROUTE TO BS0508 I I I I
I I I �a I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLF CITY CA 91780 BL 0508 1303190044
PHONE (626) 285-0488 EXT
LEGAL ID - NO OF CONST _ BUILDING ADDRESS
JTR 13329 LT 4' _ SQ FT STORIES TYPE 5030 CLOVERLY AV _
1STRUCTURE V-B 1 TEMP CA 917803812
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA
18590-019-005 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl
1TENANT 1EXIST BLDG USE RESID USE ZONE R-1 11SSUED ON PROCESSED BY
1 (EXIST OCC GRP - 103/19/13 - SR
TMAOWNER TEL NO iBLDGS NOW ON LOT VALUATION iF2 �ATE� FIY CODE
TANAHA NORMAN E,MICHIKO (626) 602-4291- 7 000 /]fr►Jr�l� 7
15030 CLOVERLY AV
1TEMP 917803612 _ I FEES PAID 1LTESCRI T ON OF WORK
1BATHROOM REMODEL REPLACE TYPICAL WALL ON THE SHOWER BY GLASS
FEE DESCRIPTION QUANTITY UOM AMOUNT 1WALL & DOOR
APPLICANT TEL NO I 1
1ABREGO, REMBERTO (310) 350-4478- JAA BLDG PERMIT ISSUANCE 27 80 1
1705 W 134TH ST JAB STATE GREEN BLDG FEE 7000 00 VAL 1 00 SPECIAL CONDITIONS _
IGARDENA CA 92047 JAC STRONG MOTION RESID 7000 00 VAL 0 70 1
JB2 PERMIT W/ENERGY 7000 00 VAL 182 80 1
TOTAL FEES 212 30 1
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
1HI TEC _ (310) 350-4478-
11705 W 134TH STREET LIC NO 1LOCATION AND SETBACKS 1 1
1GARDENA CA 92047 955817 1
1 I 1SOILS ENGINEER APPROVAL -
1ARCHITECT OR ENGINEER TEL NO FOUDDATION/TRENCH FORMS
1 LIC NO SLAB/UNDER FLOOR 1
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP J- ��� b"'y=r l'� I UNDFRFLOOR INSULATION
1144H269 3 001 _ - r 1
1 I +� �• �- f1FLOOR SHEATHING
1NO OF FAMILIES DKELLING UNITS APT/GOND STAT CLASS 1 1 r
1 0 NO 21 L J 1ROOFrSHEATHING 1 1 1
1 SCHOOL WITHIN HAZARDOUS 1 ' 1SHEAF, PANELS 1 1 1
1AIR QUALITY 1000 FEET MATERIALS
1 NO NO NO 1FRAME INSPECTION 1
_ I 1FIRE `SPRINKLER HANGERS 1
(INSULATION/WEATHER STRIP 1 1
11NTERIOR LATH/DRYWALL
- EXTERIOR LATH
' RATED FLOOR/CEIL ASSEM
1RATED WALL ASSEMBLIES
I I I I I I
1 y 1RATED SHAFTS/OPENINGS
1T-13AR CEILINGS
LOT DRAINAGE
1 REPORT ID DPR261 ROUTE TO BSO508 1